Abstract

Vitamin D may be essential for restricting the development and severity of allergic diseases and asthma, but a direct causal link between vitamin D deficiency and asthma has yet to be established. We have developed a ‘low dose’ model of allergic airway disease induced by intraperitoneal injection with ovalbumin (1 µg) and aluminium hydroxide (0.2 mg) in which characteristics of atopic asthma are recapitulated, including airway hyperresponsiveness, antigen-specific immunoglobulin type-E and lung inflammation. We assessed the effects of vitamin D deficiency throughout life (from conception until adulthood) on the severity of ovalbumin-induced allergic airway disease in vitamin D-replete and -deficient BALB/c mice using this model. Vitamin D had protective effects such that deficiency significantly enhanced eosinophil and neutrophil numbers in the bronchoalveolar lavage fluid of male but not female mice. Vitamin D also suppressed the proliferation and T helper cell type-2 cytokine-secreting capacity of airway-draining lymph node cells from both male and female mice. Supplementation of initially vitamin D-deficient mice with vitamin D for four weeks returned serum 25-hydroxyvitamin D to levels observed in initially vitamin D-replete mice, and also suppressed eosinophil and neutrophil numbers in the bronchoalveolar lavage fluid of male mice. Using generic 16 S rRNA primers, increased bacterial levels were detected in the lungs of initially vitamin D-deficient male mice, which were also reduced by vitamin D supplementation. These results indicate that vitamin D controls granulocyte levels in the bronchoalveolar lavage fluid in an allergen-sensitive manner, and may contribute towards the severity of asthma in a gender-specific fashion through regulation of respiratory bacteria.

Highlights

  • Vitamin D supplementation is currently under evaluation for the treatment of many pathological conditions including allergic and autoimmune diseases characterised by aberrant immunity

  • Supernatant levels of IL-33 were not affected by vitamin D, but were low (,10 mg/ml; level of detection,2 pg/ml). These results indicate that effects of a ‘lifetime’ of vitamin D deficiency, including any epigenetic effects induced in utero in male mice are reversible

  • We showed that deficiency in circulating vitamin D levels increased granulocyte numbers and commensal bacterial levels in the lungs of male mice with OVA-induced allergic airway disease

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Summary

Introduction

Vitamin D supplementation is currently under evaluation for the treatment of many pathological conditions including allergic and autoimmune diseases characterised by aberrant immunity. Skin exposure to the ultraviolet rays of sunlight is the main means by which individuals acquire vitamin D. After exposure to ultraviolet radiation, epidermal 7-dehydrocholesterol undergoes chemical conversion to pre-vitamin D, which is further isomerised to vitamin D, is bound by the vitamin D-binding protein and relocated to the liver and kidney for sequential hydroxylations to form 25-hydroxyvitamin D (25(OH)D) and 1,25-dihydroxyvitamin D (1,25(OH)2D). Vitamin D is increasingly acquired through dietary sources in the form of supplements. The best current measure for determining vitamin D sufficiency is 25(OH)D, where deficiency is recognised by many to occur when serum 25(OH)D levels fall below 50 nmol/L [1]

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